With reference to the terms stated please reserve the self catering holiday cottage –

Moonriver, 31 Riverside, Martham, Norfolk, NR29 4RG for the period

FROM TO

At £                     per week

Alternatively, it is recommended that you give a second choice of dates in case your first choice is already booked.

I enclose £75 cheque, postal order, bank transfer, etc. as Deposit per week,

leaving a balance of £               to pay at least two months before the start of my holiday.

Please make Cheques, Postal Orders, Bank Transfer, etc. in favour of –

Mr Max Manners, 153 Marine Drive, Rottingdean, Brighton, BN2 8AA

How did you hear about our holiday cottage Moonriver?

Press Friend Web Stayed before Other

There will be …… Persons and …… Pets in my party, £5 per pet per day

I am over 18 years of age and my Name and Address is – (BLOCK CAPITALS PLEASE)

Name

Address

Postcode

Home Telephone

Mobile Telephone (As an Emergency contact for us)

Email

I agree to be held responsible for the Balance of the Rent that become due in accordance with the conditions stated above. Neither Mr or Mrs Manners, nor their staff can be held liable for any injury, damage or loss to tenants or their property. Tenants will be held responsible for any loss or damage to Moonriver, 31Riverside, Martham, Norfolk, NR29 4RG or its contents.

Signature & Date

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